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The notion is easy: Near-universal protection will minimize uncompensated treatment, which will boost hospitals’ revenues, which will offset the government’s re- ductions in Medicare and Medicaid reimbursements to hospitals. Major provisions of the Affordable Care Act-i.e., the insurance regulations and taxes, the reductions in federal reimbursements to hospitals and other Medicare devote- ing reductions, the exchanges and their federal subsidies, and the employer responsibility evaluation-can not stay once the Individual Mandate and Medicaid Expansion are invalid. In summary, the Individual Mandate and Medicaid Expan sion offset insurance policies rules and taxes, which offset decreased reimbursements to hospitals, which offset increases in federal investing. Cf. National Assn. of Public Hospitals, 2009 Annual Survey: Safety Net Hospitals and Health Systems Fulfill Mission in Uncertain Times 5-6 (Feb. 2011). Like the result of preserving the insurance restrictions and taxes, the precise degree of hazard to hospitals is unknowable. The drop in the birth charge from 2007 to 2009 is thought to be connected with the Great Recession. The Court has been informed by distinguished economists that the Act’s Individual Mandate and Medicaid Expansion would every single boost revenues to the insurance policy business by about $350 billion over 10 years that this blended figure of $700 billion is important to offset the roughly $700 billion in new expenditures to the insurance plan market imposed by the Act’s insurance policies polices and taxes and that the new $700-billion stress would normally dwarf the industry’s present profit margin